Payer

CMS will use 12 measures to calculate its 2022 Star Ratings for Medicare Part D prescription drug plans, which the agency outlined Jan. 15.

CMS will use 30 measures to calculate its 2022 Star Ratings for Medicare Advantage plans, which the agency outlined Jan. 15.

OptumCare, the part of UnitedHealth Group that provides direct patient care, plans on adding thousands of physicians in the next year, UnitedHealth's CEO said during a Jan. 20 earnings call.

Cigna is facing a lawsuit that accuses the health insurer of inappropriately denying coverage for surgery services that were provided outside of an emergency department because of a surge in COVID-19 patients, according to court documents.

Bethesda, Md.-based Aledade, an organization that helps independent physicians band together to create ACOs, said Jan. 19 that it closed a $100 million funding round. 

UnitedHealth Group posted a profit of $2.2 billion in the fourth quarter of 2020, down about 38 percent from $3.5 billion in the same period of 2019. In its Jan. 20 financial release, UnitedHealth said the declines were expected as…

Here are four lawsuits, settlements and other legal actions involving commercial payers that were filed since Jan. 1:

UnitedHealthcare debuted a virtual primary care service that will be available to members in 11 states, the insurer said Jan. 14.

Capital BlueCross, a Pennsylvania-based insurer that covers close to 1 million members, is temporarily waiving virtual care fees through March 31, the insurer said Jan. 19.

On Jan. 15, CMS issued 2022 Medicare Advantage and Part D rates three months early in a move it says will give plans more time to calculate bids for the next coverage year.